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LAND USE RInitial Application Date: Application # �o �yr1/ � 9 COUNTY OF HARNETT LAND USE APPLICATION Central Permitting 108 E. Front Street, Lillington, NC 27546 Phone: (910) 893-7525 1Faax: (910) 893-2793 / www.hamett.org LANDO//-W--NER: W I FQ _ r��ielLl .-, Mailing Address: City: 1-d- Q1i1- (%Qr;'dQ State: A/C C Zip: a Z Home #: �I /% .5"S�-/ %9d Contact #: APPLICANT*: S6ZCoe 0-5 6�-b ©Ve Mailing Address: City: State: Zip. Home #: Contact *Please fill out applicant information If different than landowner PROPERnTY LOCATION: State Road #:: / s yo(State Road Name: (45 �-^ Parcel: ✓ UfM2- � 7 ✓ 0 PIN: P6 S Z �3 3S` Ooo, Zoning: Subdivision: ("I I rd eirk Lot M J- l� Flood Plain: Panel: Watershed: Deed Book/Page: SPECIFIC DIRECTIONS TO THE PROPERTY FROM L9ILLINGTON: �! Lot Size: 0 5:, acrPS b-5 /X Plat Book/Page: Z / �_ " PROPOSED USE- t y 1 rl 3 �l2 /L a� � S"�r�r2 r r Circle: SFD (Size_5 ) # Bedrooms # Bath Basement (w/wo bath) - Garage K Deck / (/ Crawl Space Slab ❑ Modular: _On frame _Off frame (Size_x_) # Bedrooms # Baths Garage (site built?_) Deck (site built?_) ❑ Multi -Family Dwelling No. Units No. Bedrooms/Unit ❑ Manufactured Home: _SW _DW TW (Size x_J # Bedrooms Garage site built?_) Deck (site built?__j ❑ Business Sq. FL Retail Space Type # Employees: Hours of Operation: ❑ Industry Sq. Ft. Type # Employees: Hours of Operation: ❑ Church Seating Capacity # Bathrooms Kitchen ❑ Home Occupation (Size -X-) # Rooms Use Hours of Operation: ❑ Accessory/Other (Size -X-) Use ❑ Addition to Existing Building (Size x_) Use Closets in addition(_)yres (Jno Water Supply: County (J Well (No. dwellings ,) U Other Sewage Supply: KNew Septic Tank (Need to fill out New Tank Checklist) (J Existing Septic Tank (_) CountySewer U Other Property owner of this tract of land o n t contains a manufactured tome wrn five hundred feet (500') of tract listed above? (DYES XNO Structures on this tract of land: Sin to family dwellings Manufactured Homes Other (specify) Required Residential Property Line Setbacks: Comments: Front Minimum 35 Actual 101 aa,mc4ua' W�tppm Rear 25 131, c Side 10 Comer/Sidestreet 20_ Nearest Building 10 on same lot If permits are granted I agree to conform to all ordinances and the laws of the State of North Carolina regulating such work and the specifications of plans submitted. I hereby state that the foregoing statements are accurate and correct to the best of my knowledge. This permit is subject to revocation if false information is provided on this form. � aa- 67 Signature of r or Owner's Agent Date **This application expires 6 months from the initial date if no permits have been issued- A RECORDED SURVEY MAP, RECORDED DEED (OR OFFER TO PURCHASE) AND PLAT ARE REQUIRED WHEN APPLYING FOR LAND USE APPLICATION Please use Blue or Black Ink ONLY 8/06 Q uj `5• C -m "I _ P W � 39 0.► :3.461 Ac. bg. i cr n tic IN ,p 0.649 An. 4Jt+ALut � Yebr'ny'!c, '> C34 1.150 106-01* 122.04 74.46' A ,4t1ir Laverm, W. Rain, et. a1 Will linek 0.91F., Page 177 Deed look 326, Page 115 DICATF.D WSIIIII.ITY i ME :E STRUCTURES 9RITY OF THE ' DRAINAGE. POND 94.83' 65�g' Acle �._ MlF 145H.5A' (Tots!) Note: Lots 40 through 43 Ballards Mill Court Sheet One of Three Section Thl•ee Mill Bran c11 Property Of ,visions: 1? and K Laud De vel op ers, LLC 59.51 L'S 401 North Fuquer-Varine, NC 27528 810-883-9612 Anderson Construction Inc. 6212 Raids CBurch Road Fuquaj•-Varina, PIC 27626 919-652-4168 p" TO If VECTOR'S CREEK COUNT'}:• HARNETT 1 - 100 S l A 1 E. NORT'II CAROLINA Tax IU: 080652 0097 Ants] Senle VATI, RA -40 PARCEL NUMBER: 0652-24-4681.000 50 P c 6 r `� 0.419 Ac. '� ,. icy 1 iti `►' O cu h� 10 8 0.43n Ac. 01' �S �T, i N Z5 1�y� t0 ,•�4 L�,�2h• dtl 6 �.��' ¢G Zf 1�3 cn El1:8.94 fi, �f�„45 Da 0.8.99 An. `5• C -m "I _ P W � 39 0.► :3.461 Ac. bg. i cr n tic IN ,p 0.649 An. 4Jt+ALut � Yebr'ny'!c, '> C34 1.150 106-01* 122.04 74.46' A ,4t1ir Laverm, W. Rain, et. a1 Will linek 0.91F., Page 177 Deed look 326, Page 115 DICATF.D WSIIIII.ITY i ME :E STRUCTURES 9RITY OF THE ' DRAINAGE. POND 94.83' 65�g' Acle �._ MlF 145H.5A' (Tots!) Note: Lots 40 through 43 Ballards Mill Court Sheet One of Three Section Thl•ee Mill Bran c11 Property Of ,visions: 1? and K Laud De vel op ers, LLC 59.51 L'S 401 North Fuquer-Varine, NC 27528 810-883-9612 Anderson Construction Inc. 6212 Raids CBurch Road Fuquaj•-Varina, PIC 27626 919-652-4168 p" TO If VECTOR'S CREEK COUNT'}:• HARNETT 1 - 100 S l A 1 E. NORT'II CAROLINA Tax IU: 080652 0097 Ants] Senle VATI, RA -40 PARCEL NUMBER: 0652-24-4681.000 V I